Individual
PATRICIA V. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12380 DEPAUL DR., SSM REHABILITATION HOSPITAL - PHYSICIAN'S SERVICES, BRIDGETON, MO 63044-2588
(314) 447-9705
(314) 447-9706
Mailing address
12380 DEPAUL DR., SSM REHABILATION HOSPITAL - PHYSICIAN'S SERVICES, BRIDGETON, MO 63044-2588
(314) 447-9705
(314) 447-9706
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
01382
MO
103TC0700X
Clinical Psychologist
01382
MO
Other
Enumeration date
08/31/2006
Last updated
08/28/2013
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